NUR 155 FOUNDATIONS OF NURSING EXAM 1
TEST BANK Q&AS WITH RATIONALES LATEST
FALL 2026 - 2027 BUNDLE - GALEN COLLEGE
This premium Foundations of Nursing (NUR 155) Exam 1 Test
Bank delivers high-yield, sequential multiple-choice
questions with verified answers and detailed clinical
rationales. Explicitly optimized for Galen College of Nursing
curriculums, it covers high-traffic test domains including the
nursing process (ADPIE), vital signs, documentation
standards, safety, and infection control. This comprehensive
study guide is perfect for students seeking a top-tier prep
tool to ace their first foundational nursing exam.
Unit 1: The Nursing Process & Clinical Judgment (ADPIE)
Q1. A nurse is conducting an admission interview with a
client. Which data should the nurse categorize as objective?
A. The client states, "I feel incredibly dizzy when I stand up too
quickly."
B. The client's spouse notes, "He hasn't been sleeping well for the
past three nights."
C. The client's skin is warm, dry, and intact with a 2-second
capillary refill.
D. The client rates their sharp abdominal pain as an 8 on a scale
from 0 to 10.
Correct Answer: C
,Rationale: Objective data is measurable, observable physical
findings collected via inspection, palpation, percussion, or
auscultation. Symptoms, pain scales, and family statements
are subjective data.
Q2. Which action by the nurse represents the "Assessment"
phase of the nursing process?
A. Administering an ordered nebulizer treatment to a client who is
wheezing.
B. Measuring a client's hourly urine output following a major
surgical procedure.
C. Collaborating with a physical therapist to establish realistic
mobility goals.
D. Documenting that an explicit short-term breathing goal was
successfully met.
Correct Answer: B
Rationale: Assessment involves the systematic and
continuous collection of data. Measuring urine output is data
collection. Administering treatments is implementation,
collaborating on goals is planning, and determining if goals
were met is evaluation.
Q3. A nurse forms a clinical judgment that a client has an
altered breathing pattern. According to Tanner's Model of
Clinical Judgment, which phase is the nurse exhibiting?
A. Noticing
B. Interpreting
C. Responding
D. Reflecting
Correct Answer: B
Rationale: Interpreting involves translating gathered clinical
,data into a meaningful conclusion or diagnosis. Noticing is
the initial recognition of cues, responding is the intervention,
and reflecting is analyzing the outcome.
Q4. A nurse writes the following goal for a client: "The client
will ambulate safely down the hallway by the end of the
shift." Which essential component of a SMART goal is
missing?
A. Specificity
B. Measurability
C. Attainability
D. Realism
Correct Answer: B
Rationale: The goal lacks clear measurability (e.g., "will
ambulate 50 feet"). While it specifies a time frame ("by the
end of the shift"), it does not provide a concrete numeric
value to measure success.
Q5. A nurse is prioritizing care for four assigned clients at
the start of the shift. Which client requires immediate
intervention?
A. A client with a localized wound infection who is requesting an
ordered dose of scheduled oral antibiotics.
B. A post-operative client who reports a pain level of 6 out of 10 at
their abdominal incision site.
C. A client admitted with asthma who displays intercostal
retractions and an oxygen saturation of 88%.
D. A client scheduled for a physical therapy session who needs
assistance getting dressed.
Correct Answer: C
Rationale: Utilizing ABCs (Airway, Breathing, Circulation) and
, Maslow's Hierarchy of Needs, the client displaying
intercostal retractions and low oxygen saturation represents
a life-threatening breathing problem that takes precedence
over pain, infection, or mobility.
Q6. During an evaluation phase, the nurse notes that a client
has not met the expected outcome of losing 2 pounds within
1 week. What is the nurse's next best action?
A. Discharge the client from the care plan since the goal was
completely unmet.
B. Reassess the client, gather new data, and modify the care plan
interventions.
C. Force the client to adhere strictly to the original plan without
making alterations.
D. Document that the client is uncooperative and file an adverse
variance report.
Correct Answer: B
Rationale: When goals are unmet, the nursing process
requires the nurse to cycle back to reassessment, identify
barriers or new findings, and revise the plan of care
accordingly.
Q7. A nurse collects subjective data from a client
experiencing severe nausea. Which statement represents
subjective data?
A. Hyperactive bowel sounds auscultated in all four abdominal
quadrants.
B. The client's emesis measures 250 mL of green, bile-stained
fluid.
C. The client reports, "My stomach feels like it is spinning in
circles."
TEST BANK Q&AS WITH RATIONALES LATEST
FALL 2026 - 2027 BUNDLE - GALEN COLLEGE
This premium Foundations of Nursing (NUR 155) Exam 1 Test
Bank delivers high-yield, sequential multiple-choice
questions with verified answers and detailed clinical
rationales. Explicitly optimized for Galen College of Nursing
curriculums, it covers high-traffic test domains including the
nursing process (ADPIE), vital signs, documentation
standards, safety, and infection control. This comprehensive
study guide is perfect for students seeking a top-tier prep
tool to ace their first foundational nursing exam.
Unit 1: The Nursing Process & Clinical Judgment (ADPIE)
Q1. A nurse is conducting an admission interview with a
client. Which data should the nurse categorize as objective?
A. The client states, "I feel incredibly dizzy when I stand up too
quickly."
B. The client's spouse notes, "He hasn't been sleeping well for the
past three nights."
C. The client's skin is warm, dry, and intact with a 2-second
capillary refill.
D. The client rates their sharp abdominal pain as an 8 on a scale
from 0 to 10.
Correct Answer: C
,Rationale: Objective data is measurable, observable physical
findings collected via inspection, palpation, percussion, or
auscultation. Symptoms, pain scales, and family statements
are subjective data.
Q2. Which action by the nurse represents the "Assessment"
phase of the nursing process?
A. Administering an ordered nebulizer treatment to a client who is
wheezing.
B. Measuring a client's hourly urine output following a major
surgical procedure.
C. Collaborating with a physical therapist to establish realistic
mobility goals.
D. Documenting that an explicit short-term breathing goal was
successfully met.
Correct Answer: B
Rationale: Assessment involves the systematic and
continuous collection of data. Measuring urine output is data
collection. Administering treatments is implementation,
collaborating on goals is planning, and determining if goals
were met is evaluation.
Q3. A nurse forms a clinical judgment that a client has an
altered breathing pattern. According to Tanner's Model of
Clinical Judgment, which phase is the nurse exhibiting?
A. Noticing
B. Interpreting
C. Responding
D. Reflecting
Correct Answer: B
Rationale: Interpreting involves translating gathered clinical
,data into a meaningful conclusion or diagnosis. Noticing is
the initial recognition of cues, responding is the intervention,
and reflecting is analyzing the outcome.
Q4. A nurse writes the following goal for a client: "The client
will ambulate safely down the hallway by the end of the
shift." Which essential component of a SMART goal is
missing?
A. Specificity
B. Measurability
C. Attainability
D. Realism
Correct Answer: B
Rationale: The goal lacks clear measurability (e.g., "will
ambulate 50 feet"). While it specifies a time frame ("by the
end of the shift"), it does not provide a concrete numeric
value to measure success.
Q5. A nurse is prioritizing care for four assigned clients at
the start of the shift. Which client requires immediate
intervention?
A. A client with a localized wound infection who is requesting an
ordered dose of scheduled oral antibiotics.
B. A post-operative client who reports a pain level of 6 out of 10 at
their abdominal incision site.
C. A client admitted with asthma who displays intercostal
retractions and an oxygen saturation of 88%.
D. A client scheduled for a physical therapy session who needs
assistance getting dressed.
Correct Answer: C
Rationale: Utilizing ABCs (Airway, Breathing, Circulation) and
, Maslow's Hierarchy of Needs, the client displaying
intercostal retractions and low oxygen saturation represents
a life-threatening breathing problem that takes precedence
over pain, infection, or mobility.
Q6. During an evaluation phase, the nurse notes that a client
has not met the expected outcome of losing 2 pounds within
1 week. What is the nurse's next best action?
A. Discharge the client from the care plan since the goal was
completely unmet.
B. Reassess the client, gather new data, and modify the care plan
interventions.
C. Force the client to adhere strictly to the original plan without
making alterations.
D. Document that the client is uncooperative and file an adverse
variance report.
Correct Answer: B
Rationale: When goals are unmet, the nursing process
requires the nurse to cycle back to reassessment, identify
barriers or new findings, and revise the plan of care
accordingly.
Q7. A nurse collects subjective data from a client
experiencing severe nausea. Which statement represents
subjective data?
A. Hyperactive bowel sounds auscultated in all four abdominal
quadrants.
B. The client's emesis measures 250 mL of green, bile-stained
fluid.
C. The client reports, "My stomach feels like it is spinning in
circles."
